The topic of Ketamine infusions can elicit some strong concerns. Some clinicians are familiar with a type of infusion known as “Ketamine comas,” in which people are placed in a medical coma and stay in an ICU for treatment. This is often viewed as quite extreme, and risky; and leaves many wondering the efficacy of such a treatment when the patient is not actively participating in recovery from a brain/pain connection. For clarification, the coma is not the only protocol available. Ketamine infusions can involve: 1. Outpatient “awake” protocol 2. Low-dose inpatient protocol 3. Ketamine coma. (In addition, there are now physicians who prescribe compounded ointments with Ketamine as one of the medications. This is not the same as an infusion. There’s not enough data at this time about efficacy and safety of this approach with topicals.) Our guest blogger, Dr. Allison Wells, MD, is sharing information about the outpatient procedure. ~ Tracy Sher of Pelvic Guru